10 TIME UNTIL JOINING OR CREATING ACO (C-SUITE ONLY) 25.0% 20.0% 21.0% 20.3% 18.8% 15.0% 14.5% 14.5% 10.9% 10.0% 5.0% 0.0% We already have an ACO in place By the end of 2013 By the end of 2014 By the end of 2015 After 2015 My health system will not be joining or creating an ACO in the foreseeable future 10 Source: Premier healthcare alliance spring 2013 member survey

14 14 TOP 5 AND BOTTOM 5 LESSONS FROM COMPARISONS Factors That Differentiate Organizations with High ACO Readiness 1. Ownership of a health plan with population health management capabilities 2. Existing collaboration with other health systems in the community 3. Positive relationships with primary care and specialty care providers in the market 4. More advanced level of clinical integration across the continuum of care 5. Some investment in patient-centered medical home development with their PCPs 6. Existing risk-based contracts with payers including bundled payments Factors That Do NOT Differentiate 1. Already in active execution of a clinical integration strategy across the system 2. Number of employed physicians 3. Disproportion of the market with government financed health services 4. Financial strength (strong for the entire group) 5. Medicare spending level, including end-of-life care 6. Market share Factors Likely to Become Differentiators in More Mature Models 1. Active governance structures that include physician leadership (e.g. PHOs) 2. An EHR and HIE implementation strategy across the continuum of care 3. Physician leadership development programs or culture barriers 4. Payers that are initiating innovative risk-based relationships 14

15 NO MATTER WHERE YOU ARE ON THE JOURNEY Total cost of care reduction is essential Data-driven utilization analyses Labor productivity Efficient and effective supply chain Clinical outcomes are driving value Value-based purchasing Readmissions Reducing harm Share best practices, learn from top performers 15

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Population Health: Tales from the Front Integrated Design and Case Study from Northwest Arkansas Objectives 1 2 3 4 Discuss current Population Health trends and approaches in the market Determine the strategies

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